Elevating Patient Care: Mastering the Nuances of BHRT

Presented by Ruth Hobson, ND | November 13, 2024 at 12 PM Pacific

As integrative practitioners, we understand that hormone prescribing is not a one-size-fits-all approach. The complexity of individualized medicine can be challenging, which is why a strong foundation in laboratory assessment and hormone knowledge is essential for ensuring your patients' success.

In this webinar, Dr. Ruth Hobson will delve into the intricacies of hormone prescribing, covering topics such as BHRT, dosage adjustments, and so much more.

Learning Objectives:

1. Summarize nomenclature used to describe hormone therapies
2. Discuss common options for hormone replacement therapy, including trademarked and compounded options.
3. Describe advantages and disadvantages of various routes of administration (i.e. oral, topical, injectable)
4. Review what the current research says about HRT and health outcomes.
5. Discuss best practices for specimen collection to capture the true picture of a patient's response to hormone therapy.
6. Create treatment plans based on salivary hormone testing of males and females.

CHAPTERS:
00:00 Introduction & Objectives
00:42 Hormone Definitions: Synthetic vs. Natural vs. Bioidentical
02:45 Prescription vs. OTC Hormones
04:08 Compounded vs. Standardized BHRT
05:02 Routes of Hormone Administration
07:38 Transdermal, Oral, and Sublingual Comparison
09:01 Injections and Pellet Therapy
10:38 Estrogen Therapy Considerations
12:06 Oral vs. Transdermal Estrogen Risks
14:30 Estrogen Dosing Guidelines
16:04 Transdermal Estrogen Safety Research
17:01 Estriol Use and Dosing
18:04 Progesterone Effects and Delivery Options
19:44 Testosterone BHRT & Aromatization
21:03 DHEA Supplementation Considerations
22:32 Dosing Charts and Cortisol Therapy
23:59 Compounding Safety and Regulation
25:31 Individualized BHRT Planning
26:10 New 2024 Research on BHRT After Age 65
28:06 Ovarian Cancer Risk & Progesterone Protection
30:32 Updated 2024 BHRT Risk Assessments
32:29 Topical Progesterone Endometrial Protection
34:00 Progesterone’s Protective Role in Breast Health
35:01 BHRT Use in Breast Cancer Survivors
37:13 Vaginal Estrogen Safety Post-Breast Cancer
39:01 BHRT Guidelines for High-Risk Patients
40:59 Over-the-Counter Hormone Options
42:13 Hormone Testing Guidelines & Collection Timing
46:04 Case Study: Premenopausal Female with Low Progesterone
52:08 Case Study: Post-Hysterectomy Menopausal Symptoms
57:13 Case Study: Hormone Imbalance in Male Patient
1:04:03 Summary: Hormone Testing & Individualized Treatment
1:05:25 Q&A Session Begins